Chlamydia and HPV Testing and Treatment for Men - Urology

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Regarding the examination and treatment of Mycoplasma genitalium in men?


Hello Doctor,
My girlfriend recently tested positive for Chlamydia and has been on medication for a few days.
I think I should also get tested for Chlamydia and HPV.
I would like to ask you the following questions, thank you:
1.
What methods are used for men to test for HPV and Chlamydia? Will it be uncomfortable? Is the cost around $1500-2000? (My girlfriend spent $2000 for both tests at the gynecologist.)
2.
If my partner tests positive for Chlamydia, would you recommend that I go directly to the pharmacy to buy medication for Chlamydia and take it myself? Or is it better to get tested at the hospital first? (I have a single sexual partner, and we have had unprotected sex.)
3.
My girlfriend tested negative for HPV, but I previously had two warts that were treated with electrosurgery.
If I test positive for HPV, do I still need to receive the three doses of the vaccine? (It seems that the vaccine can only "prevent" infection from other types of HPV, and since my girlfriend tested negative for HPV, she should not be able to transmit other types of the virus to me?)
I apologize for the many questions, but this is really concerning me.
I hope you can clarify these issues, thank you very much, Dr.
Du!

SEAN, 20~29 year old female. Ask Date: 2019/04/22

Dr. Du Shixi reply Urology


Hello: 1) Different medical institutions have varying price levels.
2) In the urology department of hospitals, some doctors may prescribe medication directly.
3) If you have had a cauterization for warts, you are likely to have HPV.
Testing is possible, but it seems that the chances of a positive result are higher.
The vaccine is primarily for prevention, especially for women, although some institutions believe there are benefits for men as well.
However, it is self-funded, and if there are any issues, you will generally be responsible for them.
Some news reports have also covered unexpected events following vaccination, so you may want to look it up online and consider carefully.
Wishing you good health.
You can refer to https://www.hpa.gov.tw/Pages/List.aspx?nodeid=1751.

Reply Date: 2019/04/22

More Info


When it comes to understanding Chlamydia and HPV testing and treatment for men, it's essential to address several key points regarding testing methods, treatment options, and the implications of these infections.

1. Testing for HPV and Chlamydia in Men:
For men, testing for HPV typically involves a physical examination by a healthcare provider, who may visually inspect the genital area for any signs of warts or lesions. If there are visible signs, a biopsy may be performed to confirm the presence of HPV. For Chlamydia, testing usually involves a urine sample or a swab from the urethra. While some men may find the swab uncomfortable, it is generally quick and not overly painful. The cost of these tests can vary, but you can expect to pay around $1500 to $2000 for both tests, depending on the healthcare provider and location.

2. Treatment for Chlamydia:
If your partner has tested positive for Chlamydia, it is crucial for you to get tested as well. Self-treatment without a proper diagnosis is not recommended. While some over-the-counter medications may be available, they may not be effective against Chlamydia. It is best to consult a healthcare provider who can prescribe the appropriate antibiotics, typically azithromycin or doxycycline, to ensure effective treatment. Since you and your partner have been engaging in unprotected sex, it is important for both of you to be treated simultaneously to prevent reinfection.

3. HPV and Vaccination:
Regarding your concern about HPV, if you have previously had warts that were treated, it is still advisable to get tested for HPV. The HPV vaccine is designed to protect against certain strains of the virus, including those that can lead to genital warts and cancers. Even if you test positive for one strain of HPV, the vaccine can still provide protection against other strains. Since your girlfriend has tested negative for HPV, she is not at risk of transmitting the virus to you, but it is still wise to maintain regular screenings and follow up with your healthcare provider.

4. Importance of Regular Check-ups:
Regardless of your current health status, regular check-ups are essential. If you test positive for HPV, your healthcare provider may recommend monitoring through regular Pap tests or HPV tests, even if you are not experiencing symptoms. This is crucial because some strains of HPV can lead to serious health issues, including cancer, over time.

In summary, it is vital to take proactive steps regarding your sexual health. Get tested for both Chlamydia and HPV, follow your healthcare provider's recommendations for treatment, and consider vaccination to protect against future infections. Open communication with your partner about sexual health is also important to ensure both of you are informed and taking the necessary precautions. Regular check-ups and screenings will help you maintain your health and address any potential issues early on.

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